Background: In the current climate of consumer orientation in health c
are services, a clear need has emerged to understand the extent of con
sumer focus among primary health care professionals. Few studies have
compared the beliefs of health care staff with those of patients. This
study sought to identify and compare the perceptions of women and mid
wives concerning women's beliefs about what constitutes quality in mat
ernity services. Methods: Focus groups were conducted from July 1994 t
o June 1997 with 38 pregnant and postnatal women, and 47 midwives who
were based in two large maternity units in Yorkshire, England. Transcr
iptions of data were analyzed to identify broad themes. Results: Ten d
imensions of quality were identified Similarities between midwives and
women included beliefs about the importance of the relationship betwe
en the two parties desired attributes of staff and the environment of
care. Key differences included underestimating the importance of infor
mation antenatally and postnatally, the importance of continuity durin
g labor need for central and confidence in adjusting to the maternal r
ole, and involvement of the woman's partner in the delivery of care. C
onclusions: An understanding Of the concerns of women by maternity car
e staff is important in the development of a woman-focused service, in
line with current policy recommendations, and has implications for ri
sk management and improving the service quality for those who provide
and experience the service.